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1972604221
DENISE M. MAMMOLITO
PEORIA, IL
NPI
1972604221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 036082251)
Enumeration Date
2006-09-26
Last Update Date
2011-10-14
Business Address
-- DENISE M. MAMMOLITO M.D.
1001 MAIN STREET 3RD FLOOR
PEORIA, IL 61606-2037
Phone number: 309-495-0250
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Mailing Address
-- DENISE M. MAMMOLITO M.D.
1001 MAIN STREET 3RD FLOOR
PEORIA, IL 61606-2037
Phone number: 309-495-0250
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